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Pre-Application for Employment - Sullivan & Orange Counties Positions
Section I
Position applied for
Referred by
Social Media
Newspaper Advertisement
Radio
Friend or Relative
Discover The Rewards
Job Board
Other (Specify Below)
Please Specify if other
Section II
Last Name
First Name
Middle Name
Address
Street Address or PO Box
City
State
Zip Code
Phone
Best Time To Reach You
AM
PM
Email
Are your work records under another name/names? If yes please specify
Yes
No
Please specify if yes
Have you previously filed an application with SullivanArc, Arc of Orange County, The Arc Sullivan-Orange Counties or The Arc Dutchess?
Yes
No
Have you previously been employed by The Arc Greater Hudson Valley, SullivanArc, The Arc of Orange County, The Arc Sullivan-Orange, or The Arc of Dutchess?
Yes
No
Are you 18 or over?
Yes
No
Schedule Desired:
(check all that apply):
Full Time
Part Time
Relief
Days
Nights
Evenings
Weekends
Are you legally eligible for employment in the U.S.A.?
Yes
No
Have you ever been convicted of a crime or have any pending charges and/or have a history of substantiated abuse on file in the OPWDD, OMH or DOH system? If yes provide date and specify below
Yes
No
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If yes to previous question provide date and specify here
Section III
License
Please be advised that employment offers will be conditional for those positions that require driving. No firm offer will be made until verification of your license and driving history has been completed. Do you currently have a valid NYS or Out of State driver's license?
Yes
No
If out of state, what state?
About
Overview
Mission
Board & Execs
The Council on Quality and Leadership (CQL)
Standards of Conduct
Privacy Notice
Quality Improvement
Corportate Compliance
Notices
About our Foundation
Contact Us
Get Involved
Advocacy
Donate
Membership
Car Donations
Programs
Children's Services
Clinical Services
Community Services & Inclusion CSI
Community Services and Inclusion (CSI)
Rec & Teen Respite Program
Day Services
Developmental Screening and Evaluation
Educational Learning Experience
Employment Services
Guardianship
Mobile Mental Health Hotline
Residential Services
School to Work and Transition Service
Service Coordination
Sibshop
News/Events
Newsroom
Photo Gallery
Resources
Join Our Mailing List
For the Love of Raymond
The J. Richard (Ric) Schwartz Scholarship Application
Careers
Job Postings
Job Application - Sullivan & Orange Counties
Job Application - Dutchess County
Employment Opportunities
Success Stories
Staff Shirts
Apply for a Job
Learn about our Programs
Join Our Mailing List
Advocate Today!
Purchase Staff Shirts